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Over the last several performance years, we have observed that some activities have not remained aligned with the latest updates to clinical practice standards, have not incorporated the latest national priorities, and/or have activity requirements that are no longer substantive enough to promote a sufficient level of clinical practice improvement in today's health care environment

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CMS is proposing to use these modifiers to identify and exclude billing units for which a discount was acquired under the 340B Program because the TB modifier is an existing mechanism used to identify drugs acquired through the 340B Program and familiar to most 340B covered entities paid under the OPPS

This is the normal size, neither too small nor too big, making it the perfect choice